Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $288.40 / $288.40	Facility		$288.40	$288.40	$288.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $407.38 / $537.03	Professional		$281.84	$407.38	$537.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $645.65 / $758.58	Professional		$371.54	$645.65	$758.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $398.11 / $1,230.27	Facility		$288.40	$398.11	$1,230.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $870.96	Professional		$295.12	$295.12	$870.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $478.63 / $537.03	Professional		$426.58	$478.63	$537.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $537.03 / $1,202.26	Facility		$288.40	$537.03	$1,202.26
Medcost Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Professional		$208.93	$208.93	$208.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $489.78 / $870.96	Facility		$371.54	$489.78	$870.96
United Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $323.59 / $489.78	Professional		$251.19	$323.59	$489.78